| NPI | 1457355125 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | COURTNEY WOOLFORK CEO 270-826-0200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: KY 740146) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 101YP2500X Counselor, Professional | |
| 207Q00000X Family Medicine | |
| 363A00000X Physician Assistant | |
| 363LF0000X Nurse Practitioner, Family | |
| Enumeration Date | 2005-06-09 |
| Last Update Date | 2025-01-16 |